School Counselor Session Request

School Counselor Session Request — Form Fields

This education template includes 9 fields. Allow students or parents to request a private session with a school counselor. Free to customize and use on ZenBuild.

• Student Name (text, required)
• Grade (text, required)
• Parent or Guardian Name (text, optional)
• Contact Email (email, required)
• Phone Number (text, optional)
• Requesting Party (multiple choice, required) — options: Student, Parent/Guardian, Teacher referral
• Concern Type (dropdown selection, required) — options: Academic stress, Social/peer issues, Family concerns, Anxiety or depression, Career/future planning, Bullying, Other
• Preferred Meeting Time (multiple choice, optional) — options: Morning, Midday, Afternoon
• Brief Description of Concern (long text, optional)